31 Miss. Code. R. 9-2.10 - Healthcare Services
1. The facility
provides diagnosis and treatment, or arranges for the treatment, for conditions
discovered during the screening and assessment of youth and for youth with
medical problems that arise after admission as long as juvenile is under the
care of the facility.
2. Chronic
disease care shall be provided by qualified health professionals who have
appropriate training.
3. Written
policies, procedures, and actual practices ensure that:
a. Sick call for detained youth is accessible
every day.
b. Youth may request to
be seen by qualified health professionals without disclosing the medical reason
and without non-health care staff evaluating the legitimacy of the request.
c. Youth requesting sick call see
a qualified health professional.
4. Services are accessible to meet the
medical needs of youth in the facility.
5. 24-hour on-call or emergency medical and
mental health services, including transportation, are accessible through
on-site staff, by contract, or by way of other immediately available services.
6. Facility maintains a
responsible health authority to provide health care services pursuant to a
contract or job description.
7. The
health authority develops, approves, reviews, and revises at least annually,
the written policies, procedures, and actual practices regarding medical and
mental health care.
8. Written job
descriptions define the duties and responsibilities of personnel in the
facility health care services.
9.
Medical and mental health professionals are professionally licensed or
certified as required by state law to perform the functions required in their
respective positions.
10. Female
health professionals are available for health and mental health services for
detained female youth. Female staff are always present during physical
examinations of girls.
11. The
health authority and facility administrator or his/her designee approve a
written plan for medical and mental health emergencies and review the plan at
least annually.
12. All staff
supervising youth are trained in the following:
a. Signs and symptoms of medical
emergencies.
b. Action required in
emergencies, including referral policies and procedures.
c. First aid procedures.
d. Procedures for transferring patients to
medical facilities.
e. Protocols
for both male and female youth.
13. All staff supervising youth shall receive
training in recognizing characteristics and reporting of the following:
a. Mental illness, emotional disturbance, and
suicide risk.
b. Cognitive,
intellectual, and developmental disabilities.
c. Chemical dependency, including withdrawal
from drugs and alcohol.
d. Signs
and symptoms of child abuse (including sexual abuse) and trauma-related
disorders.
14. The health
authority ensures that staff serving as "health-trained staff" to perform
admission screenings are properly trained to fulfill those duties.
15. The facility shall provide private areas
for health examinations, both physical and mental, and for handling youth with
special medical needs.
16.
Providers are to advise youth about the limits of confidentiality prior to
initiating any medical or mental health services.
17. Medical examination and treatment conform
to state laws for informed consent and the right to refuse treatment. Written
policies, procedures, and actual practices ensure that:
a. Medical staff obtain informed consent from
youth and/or parent or guardian as required by law, and honor refusals of
treatment.
b. Where medical or
mental health staff believe that involuntary treatment is necessary, the
treatment is conducted in a hospital and not at the facility after compliance
with legal requirements.
c. Staff
document the youth and/or a parent's or guardian's consent or refusal, and
counseling with respect to treatment, in youth's medical
records.
18. In the event
such measures are necessary, designated areas and/or policies shall exist for
medically isolating youth from the general population. Health care beds are not
to be used to remedy overcrowding.
19. For those detention facilities that have
an infirmary, youth housed in the infirmary are admitted only by a qualified
health professional. Twenty-four-hour staffing by qualified health
professionals is maintained in the infirmary, with 24-hour on-call physician
staffing.
20. Staff provide
notification and/or obtain consent of parent(s) or guardian(s) in case of
serious medical or psychological problems, consistent with state law. If a
minor is committed to a hospital and held overnight, written policies,
procedures and actual practices ensure that staff make reasonable attempts to
notify parent(s) or guardian(s) within one hour of the hospitalization.
21. Pregnant youth shall receive
prompt prenatal care, including physical examinations, nutrition guidance,
childbirth and parenting education, counseling, and provisions for follow up
care. Pregnant youth shall receive a modified diet and vitamins to meet their
nutritional needs.
22. The facility
provides regular health education in self-care skills, including personal
hygiene, oral hygiene and dental care, nutrition, preventive health care, STDs
and STD prevention, stress management, drug/alcohol/tobacco education, and
physical fitness. The facility provides youth with education tailored to the
particular health needs of the youth.
23. HIV positive youth:
a. Staff do not automatically segregate youth
with HIV.
b. Staff limit the
sharing of confidential information regarding youth with HIV to those necessary
to provide for the safety, security, health, treatment, and continuity of care
for youth, consistent with state law.
c. A trained, qualified health professional
is available to provide appropriate treatment for youth with HIV/AIDS. Youth
with HIV are managed by a qualified health professional trained in HIV
treatment.
d. All staff supervising
youth receive training on and exercise universal safety
precautions.
24. Written
policies, procedures, and actual practices ensure that:
a. Youth receive substance abuse treatment,
if needed.
b. Youth who are victims
of sexual abuse are handled appropriately, including: the collection of
evidence; testing for STDs as appropriate; evaluation for counseling and
referral to the rape crisis medical staff at the local hospital; reporting to
the facility administrator or his/her designee; and reporting to child
protective authorities.
c. Staff
respond sensitively to the psychological impact of sexual abuse. Female medical
staff are available to examine female youth in these situations if requested
and male medical staff are available for male youth if requested.
d. Youth reporting to the health unit with an
injury are questioned by qualified health professionals outside the hearing of
other staff or youth regarding the cause of injury. If the health care provider
suspects abuse, the provider immediately takes steps to preserve evidence of
the injury; reports the suspected abuse; documents the injury in the youth's
medical record; and completes an incident report.
25. Facility and qualified health
professionals, when applicable, shall prepare discharge plans to provide to
youth court counselors and the youth's parent or guardian to ensure that youth
leaving custody receive continuity of care for ongoing illnesses or conditions.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.